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General NPI Number Information
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NPI Number | 1346607298
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Entity Type | Organization
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Legal Business Name | DRS. HADDEN AND WHIDDEN LLC
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Dates
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Enumeration Date | 01/23/2016
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Last Update Date | 01/23/2016
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Provider Practice Location Address
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Address Line | 219 TALCOTTVILLE RD
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City | VERNON
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State | CT
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Zip | 06066-4637
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Country | US
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Telephone | 860-508-2665
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Fax |
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Provider Business Mailing Address
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Address Line | 219 TALCOTTVILLE RD
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City | VERNON
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State | CT
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Zip | 06066-4637
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Country | US
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Telephone | 860-508-2665
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. ERIC J WHIDDEN
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Credential | DDS
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Telephone | 860-598-2665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2.010108
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License Number State | CT
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